Zachary Haskell Meredith, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

71104 Issued in CA

Practice address

3282 Adeline St
Berkeley, CA 94703-2439

Phone

(510) 981-5238

NPI assigned

Aug 21, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zachary.meredith.p1@direct.cobph.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City of Berkeley

  • Adult Mental Health Clinic/Center
  • Berkeley, CA
  • NPI 1689799520
  Medicare reassignment
• City of Berkeley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Berkeley, CA
  • NPI 1215963699
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346766342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032439",
            "telephone_number": "510-981-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032439",
            "telephone_number": "510-981-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "ZACHARY",
        "middle_name": "HASKELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "71104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Alejandro Mercado Cortes
• Bella M Mercado, PMHNP
• Omar Mohammad Merchant, MEDICAL DEGREE
• Deanna L Mercier, M.ED., BCBA
• Stacey Lynn Meredith, MD
• Rebekah Meresman
• Elyse Ann Mergenthaler, LCSW
• Jesse Merjil, LCSW
• Maudisa Magona Meroe, LCSW
• Jennie Merovick, LCSW

• Social Worker in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.